Individual
DR. AMANDA LYNN HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(410) 276-4455
Mailing address
246 S CHESTER ST, BALTIMORE, MD 21231-2625
(920) 421-2654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001593
WI
122300000X
Dentist
Primary
16436
MD
1223G0001X
General Practice Dentistry
1001593
WI
1223G0001X
General Practice Dentistry
16436
MD
Other
Enumeration date
06/07/2017
Last updated
03/12/2021
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